<unavail> in Lodi, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lodi, California. The current practice location for is 2415 W Vine St Ste 105, Lodi, California. For appointments, you can reach them via phone at (209) 333-3121. The mailing address for is 7210 Murray Dr, Stockton, California and phone number is (209) 373-2800.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164087268. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (209) 333-3121.

Contact Information


	2415 W Vine St Ste 105 Lodi CA 95242-3731
	(209) 333-3121
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2415 W Vine St Ste 105, Lodi, California
Authorized Official Name and Position	Christine Noguera (CEO)
Authorized Official Contact	2093732831
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
7210 Murray Dr Stockton CA 95210-3339 Ph: (209) 373-2800	2415 W Vine St Ste 105 Lodi CA 95242-3731 Ph: (209) 333-3121

NPI Details:

NPI Number	1164087268
Provider Enumeration Date	05/03/2019
Last Update Date	07/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	8426968520
Medicare Enrollment ID	O20201102000203

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164087268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Lodi, CA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 W Vine St, Suite A, Lodi, CA 95242 Phone: 209-334-3411 Fax: 209-339-7659
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Ste P, Lodi, CA 95242 Phone: 209-366-1990
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 S Fairmont Ave, Suite 135, Lodi, CA 95240 Phone: 209-224-5719 Fax: 209-691-9521
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, #130/135, Lodi, CA 95240 Phone: 209-366-2001
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St Ste 20, Lodi, CA 95240 Phone: 209-339-7625 Fax: 209-339-7659
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 S. Fairmont Ave, Lodi, CA 95240 Phone: 214-712-2400

- Medicare Primary Care in Lodi, CA